临床医生的姿势对患者在住院环境中的沟通感知的影响:系统性审查
Nathan Houchens1,2, Jason M Engle3,4, Rita Palanjian5,6
1Medicine Service, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA. nathanho@med.umich.edu.
在眼睛水平进行沟通,而不是站立,可能会改善患者的护理和满意度. 临床医生应该考虑在医院采用这种简单,潜在的有益实践.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者的体验 患者的体验
- 医学中的非语言沟通
背景情况:
- 非语言沟通显著影响患者的护理和结果.
- 临床医生的姿势是影响患者感知的关键非语言暗示.
- 临床医生的姿势对医院患者与医生的沟通的影响尚不清楚.
研究的目的:
- 调查临床医生的姿势对患者沟通感知的影响.
- 为了比较患者的经验,当临床医生站立与在眼睛水平沟通.
主要方法:
- 在多个数据库 (MEDLINE,CINAHL,PsycInfo,Embase,Scopus,Web of Science) 进行系统的文献搜索,截至2023年5月.
- 包括的研究比较了成年住院患者互动期间的临床医生的眼睛水平与站立姿势.
- 数据提取和偏差风险评估由独立审稿人进行.
主要成果:
- 包括14项研究 (RCT,准实验,观察).
- 十项研究倾向于在眼睛水平进行交流,以获得积极的患者结果.
- 三项研究没有发现差异; 一项研究支持站立姿势. 限制包括异质性和偏差的高风险.
结论:
- 眼睛水平的沟通似乎比站立对患者的互动更有益.
- 需要进一步的研究来澄清由于研究局限性的好处.
- 鼓励临床医生与住院患者使用眼睛水平沟通.
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